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Effects of the Acupuncture on the Smoking-cessation Clinic Program of Public Health Center in Urban Area: Retrospective Case Control Study (금연클리닉 프로그램을 통한 금연침 효과의 후향 연구)

  • Yeom, Seung-Chul
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.11-18
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    • 2009
  • Objectives : This study identified the effects of the acupuncture associated with successful cessation at a smoking-cessation clinic of public health center in an urban area. Methods : The subjects of this study were 1121 patients to the smoking cessation clinic of the Anjung Public Healthcare Center in Pyeongtaek, from June 1, 2007 to December 31, 2008. The 123 patients of them were treated by the auricular acupuncture. The experimental group were treated by the acupuncture, and the control only participated in the smoking-cessation clinic program. The data were analysed by SPSS(version 17.0). Chi-square analysis were conducted to see the different of effects between experimental and control group. Also, to find out the factors that affect the success of smoking cessation, logistic regression and Fisher's exact test were done. Results & Conculusions : 1. As the result of the analysis, it showed that 73.2% of the experimental were able to quit smoking for 4 weeks and 6months. 2. Logistic regression and Fisher's exact test showed that number of Cigarette per day, Nicotine Dependence, CO figure(p=.004<.01), and Number of Acupuncture(p=.000<.001) were the factors that affect the successful smoking cessation. 3. The smoking cessation were more likely to success as patients have lower CO figure(B=-.074), more number of the acupuncture(B=1.718). The more number of acupuncture increased 1 time, the more smoking cessation success did 5.576 times(e$^{(1.718{\times}x)$=e$^{(1.718{\times}1)$ = 5.576). 4. As the result of the analysis between experimental and control group, the success rate have the significance difference(p=.000<.001). 73.2% of the experimental were able to quit smoking, but 45.1% of the control did.

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Three-dimensional analysis of impacted maxillary third molars: A cone-beam computed tomographic study of the position and depth of impaction

  • de Andrade, Priscila Ferreira;Silva, Jesca Neftali Nogueira;Sotto-Maior, Bruno Salles;Ribeiro, Cleide Gisele;Devito, Karina Lopes;Assis, Neuza Maria Souza Picorelli
    • Imaging Science in Dentistry
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    • v.47 no.3
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    • pp.149-155
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    • 2017
  • Purpose: The classification of impacted maxillary third molars(IMTMs) facilitates interdisciplinary communication and helps estimate the degree of surgical difficulty. Thus, this study aimed to develop a 3-dimensional classification of the position and depth of impaction of IMTMs and to estimate their prevalence with respect to gender and age. Materials and Methods: This cross-sectional retrospective study analyzed images in sagittal and coronal cone-beam computed tomography (CBCT) sections of 300 maxillary third molars. The proposed classification was based on 3 criteria: buccolingual position (buccal, lingual, or central), mesial-distal position (mesioangular, vertical, or distoangular), and depth of impaction (low, medium, or high). CBCT images of IMTMs were classified, and the associations of the classifications with gender and age were examined using analysis of variance with the Scheffe post-hoc test. To determine the associations among the 3 classifications, the chi-square test was used (P<.05). Results: No significant association of the classifications with gender was observed. Age showed a significant relationship with depth of impaction (P=.0001) and mesial-distal position (P=.005). The most common positions were buccal(n=222), vertical(n=184), and low (n=124). Significant associations among the 3 tested classifications were observed. Conclusion: CBCT enabled the evaluation of IMTMs in a 3-dimensional format, and we developed a proposal for a new classification of the position and depth of impaction of IMTMs.

A Multilevel Model Analysis on the Determinants of Smoking Cessation Success Rates (다층모형을 통한 금연성공에 영향을 미치는 요인 분석)

  • Song, Tae Min;Lee, Ju Yul
    • Korean Journal of Health Education and Promotion
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    • v.30 no.1
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    • pp.53-64
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    • 2013
  • Objectives: In this study, a multilevel analysis model has been designed to investigate the effect of personal characteristics associated with smoking cessation on anti-smoking determinants with a goal of finding out the factors which have influence on smoking cessation among the entrants of smoking cessation clinic in a public health center. Methods: A total of 253,136 male smokers who received smoking cessation services for more than six(6) months in a smoking cessation clinic of public health center from July 16, 2007 to July 15, 2008 were examined. For technical analysis, SPSS Version 2.0 has been used. For multilevel analysis on smoking cessation determinants, in addition, HLM 7.0 has been adopted. Results: According to the unconditional model of multilevel analysis, the success rates of smoking cessation among the entrants of a smoking cessation clinic were 47.3%. In an unconditional slope model test to which regional variables were added, a negative effect was observed in average smoking amount, total smoking period, nicotine dependence and services while a positive effect was found in age, stress and type of social security in terms of the log of the odds of smoking cessation. In a conditional model test, a positive effect was observed in Non-Smoking Campaigns (NSC) and Frequency of Counseling (FC) in terms of the log of the odds of smoking cessation in regional variables. Conclusions: It is important to approach smokers individually and, at the same time, build healthy environment for a local community to increase smoking cessation rates among the entrants of smoking cessation clinic in a public health center.

Clinical Analysis of 194 Patients with Condyloma Applying Korean Medicine Treatment (한의학적 치료를 활용한 성기사마귀 환자 194례의 임상 특성 연구)

  • Yoon, Jung Jeh;Jo, Su Ji;Kim, Chul Yun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.5
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    • pp.295-301
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    • 2019
  • The purpose of this study is to assess potential effects of the effects of Korean Medicine treatments on condyloma. Retrospective study of 194 patients with diagnosed condyloma in Saengki Korean Medicine Clinic from October 2013 to September 2018 was done. Patients were treated with Korean Medicine treatments such as herbal treatment, pharmacopuncture and moxibustion. The data has been analyzed by chi-squared distribution and t-test. A total of 194 patients were 148 males and 46 females. In the aspect of diagnosis, newly diagnosed patients were 96 and recurrent patients were 98. After the treatment, in the light of size complete clearances were 110 patients, partial clearances were 63 and non responses were 21. And in the light of number complete clearances were 110 patients, partial clearances were 68 and non responses were 16. In complete clearance group, the relation among the treatment period, sex, age, and the site of wart showed statistically significant. There were 3 recurrences of warts in the 6 months of follow-up observation for 110 of clearance group. No major side effects related to the treatment were found. As the result of t-test shows, the Korean Medicine treatment we had applied revealed as statistically effective on both number(t=11.471, p<.001) and size(t=11.951, p<.001) of the wart. The result of this study suggests that additional treatment of Korean medicine such as acupuncture and moxibustion treatment could be effective on condyloma patients.

The Effects of Brand Image of Dental Clinics Perceived by Healthcare Service Users (치과클리닉에 대한 의료 소비자의 브랜드 이미지가 충성도에 미치는 영향 - 수도권의 의료 소비자 중심으로 -)

  • Cho, Soo Yeon;Lee, Seung Chang
    • Korea Journal of Hospital Management
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    • v.24 no.1
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    • pp.36-47
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    • 2019
  • Purposes : The purpose of this study is to analyze empirically the consturct development of brand trust in dental clinic service and its influence on both satisfaction and brand loyalty of clinic users in Seoul area. Methodology : To test the hypotheses, the structured instrument was employed to question to patients and their guardians who had used dental clinics in the metropolitan area. 207 cases were analyzed with structural equation method through SPSS 18.0 and AMOS 22.0, and findings of the test as follows. Findings : Firstly, both functional and associative images had a positive impact on the brand trust. Especially we found the influence of functional images was greater than that of the brands' associative images. Secondly, the satisfaction of dental clinic users had greater positive influence on the clinics with greater trust. Thirdly, the higher the satisfaction of health service consumers, the more positive effect on brand loyalty. This relationship between the satisfaction of dental clinic users and brand loyalty match the findings of previous studies on relations of similar variables. Practical Implications : This study shows that with greater satisfaction, the referral rate and the revisit rate of users would increase. This implies that dental clinics need to take appropriate actions to build brand trust with advertising and/or PR strategies for a good brand image. It would be necessary to research further expected variables that influence users' brand loyalty in the service, such as the dentists' level of expertise, their relationship level with customers, the quality of dental services and et al..

Notification App for Infectious Disease Test Reservation (감염병 검사 예약을 위한 알림 앱)

  • Je-Seong, Hwangbo;Kang-Yoo, Seo;Seung-Soo, Shin
    • Advanced Industrial SCIence
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    • v.1 no.2
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    • pp.30-36
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    • 2022
  • Even in 2022, when medical science is highly developed, pandemic infectious diseases continue to occur. COVID-19, which occurred in 2019, is highly contagious and has caused many infections. In Korea, temporary screening clinics, such as screening clinics and respiratory clinics, have been added to prevent the spread of COVID-19, but there are problems such as a bottleneck due to the large number of people who want to take the test, and this creates a bottleneck. In order to solve the problem, this study aims to identify people who want to be tested for COVID-19 in a screening clinic in real time. It uses a real-time database to link with screening clinics and provides users with the real-time status of each screening clinic. Using the app, users can check the status of screening clinics in real time and can select a clinic smoothly.

Study on the Erythrocyte Sedimentation Rate by Angled Tube Method during Pregnant Period in Holstein (Holstein의 임신기간별 경사시험관법에 의한 적혈구 침강율 연구)

  • 신종욱;김형욱
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.8-12
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    • 1999
  • The erythrocyte sedimentation rate (ESR) test could be applied well in clinic of men, horses or dogs. But the ESR test was not applied to clinic ruminants except for buffaloes since it was too low measure. To overcome this problem angled tube method was developed. This method was found to be useful for making diagnosis and prognosis. The results were summarized as follows. 1. In the early pregnancy condition, corrected ESR did not changed when compared with normal valures. 2. In the middle pregnancy condition, corrected ESR was increased when compeared with normal valures. 3. In the latter pregnancy condition, corrected ESR was increased when compeared with normal valures. 4. After parturition condition, corrected ESR did not changed when compeared with normal valures.

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Retrogasserian glycerol Injection as a Treatment of Tic Doulouruex -Report of twelve cases- (삼차 신경절 액조내 글리세롤 주입에 의한 삼차신경통 치험(12예 보고))

  • Park, Wook;Hwang, Kyung-Ho;Kim, Yong-Ik;Kim, Il-Ho;Song, Hoo-Bin;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.1 no.2
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    • pp.154-163
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    • 1988
  • In 1983, Sten H$\ddot{a}$kanson first reported the clinical safety and efficacy of retrogasserian glycerol injection as a treatment of typical trigeminal neuralgia in 96 of 100 patients during a follow-up period of 1~6 years. Since September 1987, we have injected sterile pure glycerol into the trigeminal cistern using an anterior percutaneous approach via the foramen ovale (H$\ddot{a}$rtel route) for treatment of tic douloureux in 12 patients who were suffering from attacks pain of following discontinuation of carbamazepine. The results were as follows; 1) Eight patients were completely free from pain attacks with a single dose of glycerol (0.4 ml). The remaining four patients needed a second dose (0.4 ml) several days later following the single dose. The degree of patient's subjective satisfaction by those injections was very good in 11 and fair in one. 2) During the follow-up period (1~13 months), persistent sensory deficit as determined by the pin prick test, appeared to be mild in 10 and moderate in one patient. There was no sensory deficit in one patient. further attacks of pain from those injections were still noted. 3) As a transient complication, there was headache in all patient, facial hematoma in 4, nausea and vomiting in two each, and vertigo and herpes simplex in one each. In conclusion, we confirmed that the above glycerol injections into the trigeminal cistern were clinically very effective as a treatment of tic douloureux even though the follow-up period was short.

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Evaluation of Non-Watertight Dural Reconstruction with Collagen Matrix Onlay Graft in Posterior Fossa Surgery

  • Kshettry, Varun R.;Lobo, Bjorn;Lim, Joshua;Sade, Burak;Oya, Soichi;Lee, Joung H.
    • Journal of Korean Neurosurgical Society
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    • v.59 no.1
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    • pp.52-57
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    • 2016
  • Objective : Many surgeons advocate for watertight dural reconstruction after posterior fossa surgery given the significant risk of cerebrospinal fluid (CSF) leak. Little evidence exists for posterior fossa dural reconstruction utilizing monolayer collagen matrix onlay graft in a non-watertight fashion. Our objective was to report the results of using collagen matrix in a non-watertight fashion for posterior fossa dural reconstruction. Methods : We conducted a retrospective review of operations performed by the senior author from 2004-2011 identified collagen matrix (DuraGen) use in 84 posterior fossa operations. Wound complications such as CSF leak, infection, pseudomeningocele, and aseptic meningitis were noted. Fisher's exact test was performed to assess risk factor association with specific complications. Results : Incisional CSF leak rate was 8.3% and non-incisional CSF leak rate was 3.6%. Incidence of aseptic meningitis was 7.1% and all cases resolved with steroids alone. Incidence of palpable and symptomatic pseudomeningocele in follow-up was 10.7% and 3.6% respectively. Postoperative infection rate was 4.8%. Previous surgery was associated with pseudomeningocele development (p<0.05). Conclusion : When primary dural closure after posterior fossa surgery is undesirable or not feasible, non-watertight dural reconstruction with collagen matrix resulted in incisional CSF leak in 8.3%. Incidence of pseudomeningocele, aseptic meningitis, and wound infection were within acceptable range. Data from this study may be used to compare alternative methods of dural reconstruction in posterior fossa surgery.

Analysis of prognostic factors through survival rate analysis of oral squamous cell carcinoma patients treated at the National Cancer Center: 20 years of experience

  • Choi, Yong-Seok;Kim, Min Gyeong;Lee, Jong-Ho;Park, Joo-Yong;Choi, Sung-Weon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.5
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    • pp.284-291
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    • 2022
  • Objectives: This study aimed to analyze the clinicopathological prognostic factors affecting the survival of patients with oral squamous cell carcinoma (OSCC). Materials and Methods: A retrospective study was conducted on patients with OSCC who received treatment at the Oral Oncology Clinic of the National Cancer Center (NCC) from June 2001 to December 2020. The patients' sex, age, primary site, T stage, node metastasis, TNM staging, perineural invasion (PNI), lymphovascular invasion (LVI), differentiation, surgical resection margin, smoking, and drinking habits were investigated to analyze risk factors. For the univariate analysis, a Kaplan-Meier survival analysis and log-rank test were used. Additionally, for the multivariable analysis, a Cox proportional hazard model analysis was used. For both analyses, statistical significance was considered when P<0.05. Results: During the investigation period, 407 patients were received surgical treatment at the NCC. Their overall survival rate (OS) for five years was 70.7%, and the disease-free survival rate (DFS) was 60.6%. The multivariable analysis revealed that node metastasis, PNI, and differentiation were significantly associated with poor OS. For DFS, PNI and differentiation were associated with poor survival rates. Conclusion: In patients with OSCC, cervical node metastasis, PNI, and differentiation should be considered important prognostic factors for postoperative survival.